Rental Application for Fathom Realty

This form is for pre-rental applicants of Fathom Realty only.

If you need to finish the application later – please use the ‘save and continue’ link at the bottom of the form.

Personal Information
Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Last Four Digits of Social Security Number*
Marital Status*
- Single
- Married
Phone*
Email*
Property Applying For
Name of Complex
Move In Date Requested?*
MM slash DD slash YYYY
Address You Are Applying For*
Street Address City State ZIP Code
Real Estate Agent (if applicable)
Current and Previous Address
Current Address*
Street Address Apt. # City State ZIP Code
How Long at Current Residence*

months/years
Currently Rent or Own*
- Rent
- Own
Rental History and Verification will be conducted. Please provide a direct email and phone number for your current landlord. Failure for us to have valid contact information will extremely delay the processing of your application and may result in denying your application.
Current Monthly Rent*
If Rent, Current Landlord's Name*
First Last
If Rent, Current Landlord's Phone*
If Rent, Current Landlord's Email
Previous Address*
Street Address Apt# City State ZIP Code
Rent or Own Previous Residence*
- Rent
- Own
How Long at Previous Residence*

months/years
If Rent, Previous Landlord's Name*
First Last
If Rent, Previous Landlord's Phone*
If Rent, Previous Landlord's Email
Employment
Current Monthly Income*
Currently Employed?*
- Yes
- No
Income verification is required as part of the screening process. Please fax your pay stubs to 1-866-639-0581. Please provide a valid phone number or email address for your human resources manager or supervisor who can verify your employment.
Current Employer*
Current Employer Phone Number*
Current Employer Address*
Street Address City State ZIP Code
How Long Employed by Current Employer*

months/years
Employer Email
Name of Supervisor*
First Last
Position/Occupation*
Previous Employed?*
- Yes
- No
Previous Employer*
Previous Employer Phone Number*
Previous Employer Address*
Street Address City State ZIP Code
How Long Employed by Previous Employer*

months/years
Previous Employer Email
Name of Previous Employer Supervisor*
First Last
Previous Position/Occupation*
Previous Employment Monthly Income*
Other Information
Have You Ever Had An Eviction Filed Against You?*
- Yes
- No
Have you or any occupants ever been arrested for, or convicted of, put on probation for, or had adjudication withheld or deferred because of a felony offense?*
- Yes
- No
Please Explain
Children to Occupy*
- Yes
- No
Children
First Name Last Name Current Age
Do You Own Pet(s)*
- Yes
- No
Pets*
Type Breed Weight lbs
Vehicles owned by Applicant?*
- Yes
- No
Vehicles*
Make Model Year Color Tag#
Emergency Contact
Emergency Contact Name*
First Last
Emergency Contact Phone
Emergency Contact Address*
Street Address Address Line 2 City State ZIP Code
Drag And Drop Pay Stubs, State Identification, Residency Verification here:
Drop files here or

Max. file size: 2 MB, Max. files: 5.
Terms and Conditions*
Applicant represents that all of the statements and representations are true and complete, and hereby, authorizes verification of the below information, references and credit records. Applicant understands that an investigative consumer report including information about character, credit history, general reputation, personal characteristics, mode of living, and all public record information including criminal records may be made. Applicant agrees that false, misleading or misrepresented information may result in the application being rejected, will void a lease/rental agreement if any and/or be grounds for immediate eviction with loss of all deposits and any other penalties as provided by the lease terms if any. Applicant authorizes verification of all information by the Landlord and or Management Company. Applicant has the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation.
NON REFUNDABLE APPLICATION FEE–Applicant(s) has paid to Landlord and/or Management company herewith the sum of $75.00 (50.00 ANY ADDITIONAL PERSON) as a NON REFUNDABLE APPLICATION FEE for costs, expenses and fees in processing the application.
SECURITY DEPOSIT AGREEMENT –Applicant has deposited a “SECURITY DEPOSIT” of $______________in consideration for taking the dwelling off the market while the application is being processed. If applicant is approved by Landlord and/or Management and the lease is entered into and possession of the single family residence is taken the “SECURITY DEPOSIT” shall be applied toward the security/damage deposit. If applicant is approved the SECURITY DEPOSIT BECOMES NON REFUNDABLE and if tenant fails to enter into a lease and or take possession the SECURITY DEPOSIT shall be forfeited to the Landlord or Management in addition to any penalties as provided in the lease if the lease has been signed by the applicant. The “SECURITY DEPOSIT” shall be refunded only if applicant is not approved. Keys will be furnished only after lease and other rental documents have been properly executed by all parties and only after applicable rentals and security deposits have been paid. This application is preliminary only, in no way implies that a particular rental unit shall be available and in no way obligates Landlord or Management to execute a lease or deliver possession of the proposed premises.

“I hereby authorize Fathom Realty and/or CAPS Screening to verify the information that I have provided on this application and to perform a credit check and background check on me.” CAPS Screening located at 1818 N. 15th St. Tampa, FL 33605
- Yes, I agree and authorize
Signature
Phone
This field is for validation purposes and should be left unchanged.

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Personal Information

Property Applying For

Current and Previous Address

Employment

Other Information

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First Name	Last Name	Current Age

Type	Breed	Weight lbs

Make	Model	Year	Color	Tag#